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Rural Health
Resources by State: Massachusetts

Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies that states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings, and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide real-life examples of each strategy, and discusses rural-specific considerations throughout.
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Medicaid Payment and Delivery System Reform: Early Insights from 10 Medicaid Expansion States
Examines the evolution of payment and delivery system reform in ten states that expanded Medicaid coverage through the Affordable Care Act (ACA). States were chosen to provide diversity in size, location, urban/rural mix, and population demographics. Findings are based on a review of states' managed care policies and contracting documents, supplemented by interviews with senior Medicaid officials.
Author(s): Sara Rosenbaum, Sara Schmucker, Sara Rothenberg, Rachel Gunsalus, J. Zoë Beckerman
Date: 10/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Three Annual Report
Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Trends in the Development of the Dental Service Organization Model: Implications for the Oral Health Workforce and Access to Services
Results of a 2017 survey of dental service organizations, which often build new practices in underserved and rural areas, and case studies of 6 dental support organizations providing general or specialty dentistry in North Carolina, Georgia, Texas, Florida, and Massachusetts.
Author(s): Margaret Langelier, Shen Wang, Simona Surdu, Elizabeth Mertz, Cynthia Wides
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Health Workforce Studies, Oral Health Workforce Research Center
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Thirty Miles at Sea — Providing Consistent Care in an Inconsistent Environment
Discusses the challenges of providing emergency department care on the island of Nantucket, Massachusetts, where the population can fluctuate from 15,000 in the off-season up to 60,000 in the summer. Describes how Nantucket Cottage Hospital transitioned from an ad hoc system of rotating physicians, to using a professional staffing group as a way to ensure adequate coverage. For Nantucket Cottage Hospital, the change allows them to worry less about scheduling, and instead focus on providing quality care.
Author(s): Margot Hartmann, Jason Graziadei
Location: New England Journal of Medicine, 376(14), 1306-1307
Date: 04/2017
Type: Document
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Selected Rural Healthcare Facilities in Massachusetts
Shows the state’s Critical Access Hospitals and Rural Health Clinics, as well as rural Federally Qualified Health Centers and Skilled Nursing Facilities.
Date: 12/2016
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Two Annual Report
Second annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Vermont, and Oregon - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Presents results from the second of three planned site visits to the states, including interviews, focus groups, and surveys. Connections made throughout to issues specifically affecting rural healthcare.
Date: 08/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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A Pilot Videoconference Group Stress Management Program in Cancer Survivors: Lessons Learned
Discusses the advantages and barriers of developing and implementing a group-based videoconference program that provides interventions to improve the psychosocial outcomes of rural cancer patients following treatment.
Author(s): Eric Zhou, Ann Partridge, Jaime Blackmon, Evan Morgan, Christopher Recklitis
Location: Rural and Remote Health, 16, 3863
Date: 06/2016
Type: Document
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The Communities That Care Coalition Model for Improving Community Health through Clinical-Community Partnerships: A Population Health Case Report
Discussion paper featuring a community coalition in rural western Massachusetts focused on supporting youth well-being and reducing youth substance abuse. Describes the initiative and the partners involved, including clinicians and public health.
Author(s): Jeanette Voas, Katherine Allen, Ruth Potee
Date: 05/2016
Type: Document
Sponsoring organization: National Academy of Medicine
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Integration of Oral Health Into the Well-Child Visit at Federally Qualified Health Centers: Study of 6 Clinics, August 2014-March 2015
Results and analysis of observations and 39 interviews with 42 administrators and staff at 6 clinics in rural, small community, and urban areas in Massachusetts and Maryland. Includes patient demographics and structural characteristics of clinics.
Author(s): Judith Bernstein, Christina Gebel, Clemencia Vargas, et al.
Location: Preventing Chronic Disease, 13
Date: 04/2016
Type: Document
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